后入路椎间孔切开减压术治疗神经根型颈椎病疗效分析

目的探究后入路椎间孔切开减压术治疗神经根型颈椎病的治疗效果,以供临床参考以及研究. 方法选取我院收治的88例神经根型颈椎病患者（2014年6月～2015年7月）作为研究对象,通过随机分组的方法将其分为对照组与观察组,对照组患者采用经前路椎间孔减压植骨固定治疗,观察组患者采用后入路椎间孔切开减压术进行治疗,探究2组患者的 JOA、VAS 评分以及复发率的差异性.结果观察组患者的 JOA 评分为（14.99±3.21）分,VAS 评分为（2.33±0.11）分,复发率为6.82%;对照组患者采用经前路椎间孔减压植骨固定治疗,其 JOA 评分为（10.51±3.20）分,VAS 评分为（5.41±0.21）分,复发率为20.45%,P〈0.05,差异具有统计学意义.结论对神经根型颈椎病患者实施后入路椎间孔切开减压术治疗,效果显著,有效改善患者的神经功能以及脊髓功能情况,值得临床进一步应用以及推广.

Objective After the inquiry into the way foraminotomy therapeutic effect of decompression of nerve root type cervical spondylosis, for clinical reference and research.Method Select our hospital 88 cases of patients with cervical radiculopathy （June 2014 - July 2015） as the object of study, by the approach of randomization divided into a control group and the observation group and the control group were treated by anterior foramen decompression bone fixation, after the observation group were treated with the road foraminotomy decompression treatment, explore JOA,VAS score and the two groups of patients relapse rate differences.Result The observation group were JOA score was （14.99 ± 3.21） points, VAS score was （2.33 ± 0.11） points, the recurrence rate was 6.82%; the control group were treated by anterior decompression and bone graft fixation intervertebral foramen, the JOA score was （10.51 ± 3.20） points, VAS score was （5.41 ± 0.21） points, the recurrence rate was 20.45%, P 〈0.05, the difference was statisticallyConclusion For patients with cervical radiculopathy after implementation approach foraminotomy decompression treatment, the effect is significant, improve nerve function and the patient’s spinal cord function, worthy of further clinical application and promotion.